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https://www.readbyqxmd.com/read/29902346/meta-analysis-of-in-hospital-delay-before-surgery-as-a-risk-factor-for-complications-in-patients-with-acute-appendicitis
#1
REVIEW
S T van Dijk, A H van Dijk, M G Dijkgraaf, M A Boermeester
BACKGROUND: The traditional fear that every case of acute appendicitis will eventually perforate has led to the generally accepted emergency appendicectomy with minimized delay. However, emergency and thereby sometimes night-time surgery is associated with several drawbacks, whereas the consequences of surgery after limited delay are unclear. This systematic review aimed to assess in-hospital delay before surgery as risk factor for complicated appendicitis and postoperative morbidity in patients with acute appendicitis...
July 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29890096/alvarado-score-in-the-diagnostic-of-pain-in-the-right-lower-quadrant
#2
Paul Eduardo Lada
BACKGROUND: Acute appendicitis neither suspected nor diagnosed could develop a perforation or otherwise it would take to removing of a normal appendix. OBJECTIVES: Utilization of a clinical score system for aided diagnosis of this pathology and can reduce a negative appendicitis. SETTING: National Clinicas Hospital. Córdoba. Argentina. DESIGN: Prospective and protocolized study. METHODS: 594 patients were studied between October 2002 and December 2013...
September 8, 2017: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29875977/-acute-appendicitis-due-to-claudius-amyand-s-hernia-in-a-newborn-with-intestinal-obstruction
#3
Hind Cherrabi, Salahoudine Idrissa, Hind Abouljaoud, Abdoulaye Harouna Diallo, Karima Atarraf, Aziz El Madi, Khalid Khattala, Youssef Bouabdallah
Claudius Amyand's hernia is defined as the incarceration of the vermiform appendix in the hernia sac. The first reported appendicectomy was performed in 1735. It is very rare among children, hence its frequency is not yet established. We report the case of a 22-day old new born with untreated simple inguinoscrotal hernia who had an urgent admission to the Emergency Department due to occlusive syndrome with no evacuation of faeces and no passing of flatus, inflammatory inguinoscrotal swelling and bilious vomiting persisting for 2 days...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29866415/mean-platelet-volume-and-the-ratio-of-mean-platelet-volume-to-platelet-count-in-the-diagnosis-of-acute-appendicitis
#4
Serdar Biricik, Hüseyin Narcı, Güllü Akbaydoğan Dündar, Cüneyt Ayrık, Mehmet Özgür Türkmenoğlu
BACKGROUND: Mean platelet volume (MPV) is an inflammatory marker. Recent studies have shown that there is a negative correlation between platelet count (PC) and MPV and that the ratio of these two values may be more meaningful. The aim of our study was to investigate the diagnostic value of MPV and the MPV/PC ratio in acute appendicitis. METHODS: Patients who were admitted to the emergency department and underwent appendectomy for acute appendicitis between January 2013 and May 2016 were evaluated retrospectively...
May 30, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29785461/clinical-significance-of-appendiceal-diverticulum-a-significant-marker-for-appendiceal-neoplasia-in-australian-patients
#5
Daniel Leonard Chan, Christopher Lim, Arsalan Bakhtiar, Matthew Khoury, Michelle Smigelski, Dean Yeh, Praveen Ravindran
INTRODUCTION: Diverticula of the appendix (DA) have a reported incidence of up to 2.1%. They are primarily detected incidentally, through imaging and intraoperative or histologic diagnosis. This study's objective was to examine the prevalence of DA, and its relationship with inflammation and neoplasia, as well as review the literature with respect to clinical outcomes and ability to identify DA preoperatively. METHODOLOGY: A retrospective search of all patients undergoing an appendicectomy for right lower quadrant pain at a single institution between 2004 and 2017 was conducted...
May 21, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29755780/appendiceal-diverticulosis-a-harbinger-of-underlying-primary-appendiceal-adenocarcinoma
#6
Jia Lin Ng, Shing Lih Wong, Ronnie Mathew
Diagnosis of primary appendiceal adenocarcinoma (PAA) is hindered by its rarity and largely asymptomatic nature. Appendiceal diverticulosis (AD) is equally rare. We report an unusual case of PAA presenting with perforated appendiceal diverticulitis, and discuss a review of the literature about its association, and its surgical and pathological implications. A middle-aged man was admitted with right iliac fossa (RIF) pain and a corresponding tender abdominal mass for 5 days. Computerised tomography (CT) scan demonstrated a thickened appendix with 3 cm abscess at its base...
April 2018: Journal of Gastrointestinal Oncology
https://www.readbyqxmd.com/read/29745005/systematic-review-and-meta-analysis-of-appendiceal-carcinoid-tumors-in-children
#7
Ike Njere, Lisa Linnéa Smith, Dushanthi Thurairasa, Rubina Malik, Iona Jeffrey, Bruce Okoye, Chandrasen Sinha
OBJECTIVE: The study's aim was to review the literature regarding past and current practices in managing incidental appendiceal carcinoid tumors and need for more procedures. METHOD: A search of MEDLINE, Embase, CINAHL, and Cochrane databases of systematic reviews was undertaken of the English language literature. The mesh terms used were "carcinoid" or "neuroendocrine," "tumour" or "tumor," "appendix," "appendicectomy," or "appendectomy," and "child," "pediatric," or "paediatric...
May 10, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29732138/a-rare-presentation-of-acute-appendicitis-in-right-upper-quadrant-caused-by-renal-agenesis
#8
Han N Beh, Yuni F Ongso
Diagnosing acute abdominal pain will always be a challenging task, patients frequently present with atypical symptoms. It is crucial for a clinician to have good differential diagnosis to avoid delay in diagnosis and treatment. We present 37-year-old male who presented to emergency department with 2 days of abdominal pain. The pain started centrally around his umbilicus and localized to his right upper quadrant (RUQ). Clinical examination showed he has localized peritonitism on the RUQ hence he was further investigated with CT abdomen...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29666745/torsion-of-the-omentum-a-rare-cause-of-acute-abdomen-in-a-14-year-old-boy
#9
Chijioke Chinaka, Shahbaz Mansoor, Mohamed Salaheidin
Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29651800/caecal-volvulus-a-rare-complication-following-a-routine-laparoscopic-appendicectomy
#10
Cameron J Parkin, Kenneth Buxey, Timothy Goldsmith, Niruben Rajasagaram
No abstract text is available yet for this article.
April 12, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29629687/the-usefulness-of-routine-histological-examination-of-appendicectomy-specimens-in-a-south-african-tertiary-centre
#11
O O Jolayemi, N B Moodley, V Y Kong, B Tlou, J L Bruce, D L Clarke
BACKGROUND: It is accepted surgical practice to send all appendicectomy specimens for histological examination, but the usefulness and cost associated with this practice have not been established in our setting, a tertiary hospital in KwaZulu-Natal Province, South Africa (SA). OBJECTIVES: To determine the histological diagnoses of appendicectomy specimens in our centre, and the cost of identifying an alternative histological diagnosis requiring further treatment...
March 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29602171/appendicectomy-during-pregnancy-and-the-risk-of-preterm-birth-a-population-data-linkage-study
#12
Ibinabo Ibiebele, Margaret Schnitzler, Tanya Nippita, Jane B Ford
BACKGROUND: Suspected appendicitis is a common non-obstetric indication for emergency abdominal surgery during pregnancy. AIMS: Assess the risk of preterm birth and other maternal and neonatal adverse birth outcomes following appendicectomy during pregnancy. MATERIALS AND METHODS: Population-based data linkage study of women with singleton births in New South Wales, Australia, 2002-2014. Pregnancies with appendicitis and appendicectomy were compared to pregnancies without appendicitis...
March 30, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29574401/a-case-report-of-incidental-ectopic-pancreatic-tissue-during-laparoscopic-appendicectomy
#13
Hang-Fai So, Trent J Cross, Mark Zonta
INTRODUCTION: Ectopic or heterotopic pancreas is a congenital disorder defined as abnormally located pancreatic tissue found outside the pancreatic frame. It is a rare entity that occasionally causes symptoms depending on its location. PRESENTATION OF CASE: We present the case of an incidental finding of proximal jejunal ectopic pancreas in a middle-aged woman presenting with appendicitis. DISCUSSION AND CONCLUSION: Although rare it is necessary to be aware that jejunal ectopic pancreas can lead to jejunojejunal intussusception...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29571061/ingested-razor-blades-within-the-appendix-a-rare-case-report
#14
Jason Cui, Trent Cross, David Lockwood
INTRODUCTION: Foreign body ingestion is a common clinical presentation with less than 1% of the cases requiring surgical intervention. In this report, we present a rare case of razor blades lodged in the appendix as a result of intentional ingestion. PRESENTATION OF CASE: A 25 year old male prisoner presented to our hospital with persistent right iliac fossa pain after razor blade ingestion. After 5 days of conservative management, there was no sign of transition on serial X-Rays...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29559489/prostate-cancer-with-an-unusual-metastatic-affinity-for-the-appendix-inducing-acute-appendicitis
#15
Erasmia Christou
Acute appendicitis induced by metastatic disease is uncommon. We present the case of an 82-year-old man with known bony metastases secondary to prostatic cancer who presents with a short history of acute abdominal pain. A CT scan was indicative of acute appendicitis and the patient underwent a laparoscopic appendicectomy; a phlegmonous mass seen intraoperatively was suspicious for malignancy, and histopathology confirmed acute appendicitis as well as metastases of prostate cancer. Metastatic disease should be considered as an important differential in all patients with a known history of malignancy, as this may in turn complicate their presenting surgical complaint...
March 20, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29552432/role-of-c-reactive-protein-white-blood-cell-counts-bilirubin-levels-and-imaging-in-the-diagnosis-of-acute-appendicitis-as-a-cause-of-right-iliac-fossa-pain
#16
Shetty Sushruth, Chellappa Vijayakumar, Krishnamachari Srinivasan, Nagarajan Raj Kumar, Gopal Balasubramaniyan, Surendra K Verma, A Ramesh
Background Right iliac fossa (RIF) pain is one of the most common modalities of presentation to surgical emergency. It remains a challenge to the treating clinicians to accurately diagnose or to rule out appendicitis. Objective The aim of the study was to compare the efficacy of clinical impression, biochemical markers, and imaging in the diagnosis of RIF pain with special reference to appendicitis and their implication in reducing the negative appendicectomy rates. Methods All patients presenting to casualty with RIF pain were included in the study...
January 15, 2018: Curēus
https://www.readbyqxmd.com/read/29550035/diagnosis-and-management-of-omental-infarction-in-children-our-10-year-experience-with-ultrasound
#17
R McCusker, R Gent, D W Goh
AIM: To review children with Omental Infarction (OI) and the role of Ultrasound Scan (US) in its diagnosis and management. METHODS: Cases of OI were identified retrospectively from 2004 to 2014 through screening of admission coding, pathology databases and radiology records. Demographic, clinical and pathological data were extracted from case records. MAIN RESULTS: 30 cases were identified (17 male, 13 female). Mean age was 10.7years (range 3...
February 15, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29543058/polymeric-clips-are-a-quicker-and-cheaper-alternative-to-endoscopic-ligatures-for-securing-the-appendiceal-stump-during-laparoscopic-appendicectomy
#18
Msj Wilson, P Maniam, A Ibrahim, N Makaram, S R Knight, P Patil
Introduction The use of polymeric clips in securing the appendiceal stump has been increasingly reported as a viable alternative to current methods in emergency laparoscopic appendicectomy. We evaluated the operative outcomes following the use of polymeric clips versus endoscopic ligatures. The primary endpoint was operative time, with secondary outcomes including complications, inpatient stay, and cost analysis. Materials and methods Operative records were retrospectively analysed to identify patients undergoing laparoscopic appendicectomy between January 2014 and June 2015...
March 15, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29509046/a-3-year-study-of-predictive-factors-for-positive-and-negative-appendicectomies
#19
Dwayne T S Chang, Melissa Maluda, Lisa Lee, Chandrasiri Premaratne, Srisongham Khamhing
BACKGROUND: Early and accurate identification or exclusion of acute appendicitis is the key to avoid the morbidity of delayed treatment for true appendicitis or unnecessary appendicectomy, respectively. We aim (i) to identify potential predictive factors for positive and negative appendicectomies; and (ii) to analyse the use of ultrasound scans (US) and computed tomography (CT) scans for acute appendicitis. MATERIALS AND METHODS: All appendicectomies that took place at our hospital from the 1st of January 2013 to the 31st of December 2015 were retrospectively recorded...
March 6, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29499722/contract-study-conservative-treatment-of-appendicitis-in-children-feasibility-study-protocol-for-a-randomised-controlled-trial
#20
Natalie Hutchings, Wendy Wood, Isabel Reading, Erin Walker, Jane M Blazeby, William Van't Hoff, Bridget Young, Esther M Crawley, Simon Eaton, Maria Chorozoglou, Frances C Sherratt, Lucy Beasant, Harriet Corbett, Michael P Stanton, Simon Grist, Elizabeth Dixon, Nigel J Hall
BACKGROUND: Currently, the routine treatment for acute appendicitis in the United Kingdom is an appendicectomy. However, there is increasing scientific interest and research into non-operative treatment of appendicitis in adults and children. While a number of studies have investigated non-operative treatment of appendicitis in adults, this research cannot be applied to the paediatric population. Ultimately, we aim to perform a UK-based multicentre randomised controlled trial (RCT) to test the clinical and cost effectiveness of non-operative treatment of acute uncomplicated appendicitis in children, as compared with appendicectomy...
March 2, 2018: Trials
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